About Leianne
Leianne Trefry practices a collaborative, person-centered approach to therapy. She is a licensed mental health counselor - LMHC - in Washington and has 11 years of professional experience. Leianne focuses on practical steps people can use to manage stress, anxiety, and depression.
She also supports those coping with addictions and trauma. Leianne adapts sessions to each person's needs and goals. She listens first and works with clients to set clear, achievable steps.
How Leianne works
Conversations often include skill practice drawn from cognitive behavioral therapy and dialectical behavior therapy, plus mindfulness exercises to calm the nervous system. Her background includes helping people facing relationship strain, codependency, and communication problems. She also has experience with issues related to adoption and foster care, abandonment, chronic illness and pain, and cancer.
Leianne addresses life changes such as divorce and blended family concerns with straightforward planning and coping strategies. Sessions cover challenges like body image, self-esteem, dissociation, control issues, and problems related to drug and alcohol use. Motivational interviewing techniques are used when people want help finding the drive to change.
The goal is steady progress, not instant fixes. Leianne aims to create a respectful, compassionate space where people can talk, make sense of hard experiences, and build new habits. She encourages practical tools and short-term goals while remaining open to deeper work as trust grows.
Leianne lists 8 ways of working on the entry:
What Leianne works with
The areas below are the ones Leianne selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Blended family issues
- Body image
- Cancer
- Chronic pain, illness, and disability
- Codependency
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Depression
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Panic disorder and panic attacks
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Traumatic brain injury
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | LMHC |
|---|---|
| Years in practice | 11 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Washington |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How therapy approaches translate to online care
Leianne often uses client-centered therapy, which focuses on listening and tailoring sessions to what matters most to the person. This approach helps people who need a supportive space to talk through stress, anxiety, or self-esteem concerns. She also draws on cognitive behavioral therapy, a practical method that looks at how thoughts, feelings, and actions connect. CBT helps with anxiety, depression, chronic pain coping, and patterns related to addiction by teaching specific exercises and homework to change unhelpful habits. Finding the right mix of approaches is part of the work together. Leianne will collaborate with each person to pick techniques that match their goals, needs, and daily life. That may mean using mindfulness practices some weeks and CBT skills other weeks, depending on progress and preference. Online sessions make it easier to fit therapy into a busy schedule. Video calls let people work face to face when an in-depth conversation is needed. Phone sessions require less bandwidth and can be a good option for quick check-ins. Live chat and text-based messaging support shorter updates and ongoing coaching between longer sessions, offering flexibility and continuity of care.Start online instead of waiting
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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